Individual provider Active NPI

Shauna Marioni II, MSN, NP, CNM

  • Advanced Practice Midwife
  • Vacaville, CA
National Provider Identifier
1053400978
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1407 Issued in CA
Practice address
3700 Vacavalley Pkwy
Vacaville, CA 95688-9543
Phone
(707) 453-5503
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP11072 CA
Advanced Practice Midwife 367A00000X 1407 CA Primary

Addresses

Primary practice location

3700 Vacavalley Pkwy
Vacaville, CA 95688-9543

Mailing address

3700 Vaca Valley Pkwy
Vacaville, CA 95688-9430
Phone (707) 453-5462

Other names 1

  • Shauna Marioni Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110601000910 CA Practitioner - Nurse Practitioner 7719164631 Reassigns benefits to 1 organization
I20220830003042 TX Practitioner - Nurse Practitioner 7719164631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11072CAMDPhysical Therapist
NP11072CAMDWomen's Health Nurse Practitioner
1407CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 12, 2011 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 12, 2011 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Aug 17, 2022 Accepting new patients

Locations

1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053400978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 VACA VALLEY PKWY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889430",
            "telephone_number": "707-453-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 VACAVALLEY PKWY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889543",
            "telephone_number": "707-453-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIONI",
        "first_name": "SHAUNA",
        "name_suffix": "II",
        "credential": "MSN, NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP11072",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "MARIONI",
            "credential": "MSN, NP, CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.